The prevalence of behavioral and emotional problems among Chinese school children and adolescents aged 6–16: a national survey

Cui, Yonghua; Li, Fenghua; Leckman, James F.; Guo, Lanting; Ke, Xiaoyan; Liu, Jing; Zheng, Yi; Li, Ying

doi:10.1007/s00787-020-01507-6

Cited by 66 publications

(51 citation statements)

References 22 publications

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“…Various emotional or behavioral problems affect at least 30 million Chinese children and adolescents under 17 years of age [16]. Further studies showed that the incidence of behavioral and emotional problems was 17.6% among Chinese school children and adolescents aged 6-16 [17]. The mental health problems of adolescents include conduct disorders, emotional disorders, self-harm, eating disorders, and hyperkinetic disorders [10,[17][18][19].…”

Section: Introductionmentioning

confidence: 99%

“…Further studies showed that the incidence of behavioral and emotional problems was 17.6% among Chinese school children and adolescents aged 6-16 [17]. The mental health problems of adolescents include conduct disorders, emotional disorders, self-harm, eating disorders, and hyperkinetic disorders [10,[17][18][19]. Additionally, there is more and more evidence that the prevalence of adolescent emotional disorders is increasing [20].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19

Zhou

Zhang

Wang

et al. 2020

Eur Child Adolesc Psychiatry

1,125

138

1,136

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Psychological health problems, especially emotional disorders, are common among adolescents. The epidemiology of emotional disorders is greatly influenced by stressful events. This study sought to assess the prevalence rate and socio-demographic correlates of depressive and anxiety symptoms among Chinese adolescents affected by the outbreak of COVID-19. We conducted a cross-sectional study among Chinese students aged 12-18 years during the COVID-19 epidemic period. An online survey was used to conduct rapid assessment. A total of 8079 participants were involved in the study. An online survey was used to collect demographic data, assess students' awareness of COVID-19, and assess depressive and anxiety symptoms with the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) questionnaire, respectively. The prevalence of depressive symptoms, anxiety symptoms, and a combination of depressive and anxiety symptoms was 43.7%, 37.4%, and 31.3%, respectively, among Chinese high school students during the COVID-19 outbreak. Multivariable logistic regression analysis revealed that female gender was the higher risk factor for depressive and anxiety symptoms. In terms of grades, senior high school was a risk factor for depressive and anxiety symptoms; the higher the grade, the greater the prevalence of depressive and anxiety symptoms. Our findings show there is a high prevalence of psychological health problems among adolescents, which are negatively associated with the level of awareness of COVID-19. These findings suggest that the government needs to pay more attention to psychological health among adolescents while combating COVID-19.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19

Zhou

Zhang

Wang

et al. 2020

Eur Child Adolesc Psychiatry

1,125

138

1,136

View full text Add to dashboard Cite

show abstract

“…The 90th and 95th percentiles for the total problem T score were 48.00 and 59.00, respectively. 10 Parents also completed the Conners' Parent Rating Scales (CPRS), which assesses the symptoms of hyperactivity/impulsivity and conduct problems. 11 Parents were asked to select from four possible responses based on the child's behavior, with a higher score indicating greater symptomatology.…”

Section: Assessment Toolsmentioning

confidence: 99%

Behavior Disorder and Social Function Impairment in Children with Basal Ganglia Germ Cell Tumors

Jin

Chen

et al. 2021

NDT

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Purpose: Basal ganglia intracranial germ cell tumors (iGCTs) can specifically destroy the basal ganglia network, leading to several cognitive, learning, behavioral, and social impairments. This study aimed to investigate the behavior and social disorders of patients with basal ganglia iGCTs. Patients and Methods: We recruited 30 newly diagnosed iGCTs patients (and their parents) for the current study. The Child Behavior Checklist/6-18 was used to evaluate emotional and behavioral problems. The Conner's Parent Rating Scales was used to assess symptoms of hyperactivity/impulsivity and conduct problems. The health-related quality of life (HRQoL) was assessed using the Pediatric Quality of Life Inventory 4.0 Generic Core Scale. Performance status was assessed using the Lansky play-performance scale and Karnofsky performance scale. The effects of basal ganglia lesions on these scores were examined. Results: Patients with basal ganglia iGCTs (n = 10) had more behavioral problems (attention problems, aggressive behavior, learning problems, hyperactivity index), social function impairment, anxiety/depression, and poorer HRQoL compared to patients with non-basal ganglia iGCTs (n = 20). There was no significant difference in the Lansky play-performance /Karnofsky performance scale scores. Conclusion: This study demonstrates the effects of basal ganglia lesions on behavioral and emotional outcomes, social functions, and HRQoL of patients with iGCTs. The results may help to understand the function of basal ganglia and provide evidence for the benefit of early psychological intervention to improve the treatment for this rare disease.

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“…A great deal of research has established that the most common symptoms reported by adolescents include emotional and behavioral problems. The prevalence of emotional and behavioral problems among adolescents ranges from 17% to 30% in Asian countries [19,20], and is around 45.7% in Europe [21]. As well, anxiety disorders (31.9%), followed by behavior disorders (19.1%), are the most prevalent disorders in U.S. adolescents [22].…”

Section: Introductionmentioning

confidence: 99%

Adolescents’ Bipolar Experiences and Suicide Risk: Well-being and Mental Health Difficulties as Mediators

Fumero

Marrero

Pérez‐Albéniz

et al. 2021

IJERPH

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Bipolar disorder is usually accompanied by a high suicide risk. The main aim was to identify the risk and protective factors involved in suicide risk in adolescents with bipolar experiences. Of a total of 1506 adolescents, 467 (31%) were included in the group reporting bipolar experiences or symptoms, 214 males (45.8%) and 253 (54.2%) females. The mean age was 16.22 (SD = 1.36), with the age range between 14 and 19. Suicide risk, behavioral and emotional difficulties, prosocial capacities, well-being, and bipolar experiences were assessed through self-report. Mediation analyses, taking gender as a moderator and controlling age as a covariate, were applied to estimate suicide risk. The results indicated that the effect of bipolar experiences on suicide risk is mediated by behavioral and emotional difficulties rather than by prosocial behavior and subjective well-being. Specifically, emotional problems, problems with peers, behavior problems, and difficulties associated with hyperactivity were the most important variables. This relationship was not modulated by gender. However, the indirect effects of some mediators varied according to gender. These results support the development of suicide risk prevention strategies focused on reducing emotional difficulties, behavioral problems, and difficulties in relationships with others.

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The prevalence of behavioral and emotional problems among Chinese school children and adolescents aged 6–16: a national survey

Cited by 66 publications

References 22 publications

Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19

Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19

Behavior Disorder and Social Function Impairment in Children with Basal Ganglia Germ Cell Tumors

Adolescents’ Bipolar Experiences and Suicide Risk: Well-being and Mental Health Difficulties as Mediators

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